Collection Financial Analyst, CBO, Full Time, Days, M-F 8AM-4:30PM - Miami, United States - Jackson Health

Description

Department: Jackson Memorial Hospital - Corporate Business Office

Address: 1400 NW North River Drive, 2nd Floor, Miami, FL 33125

Shift Details: Full-Time, Days, M-F 8AM-4:30PM

Why Jackson:

Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial – located in the heart of the City of Miami – has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals.

Summary

CBO Collection Financial Analyst perform various interviewing, fact collection and financial evaluation tasks in connection with credit and collection in a large and diversified hospital serving both non-indigent and indigent patients qualifying for various types of specialized assistance programs. Incumbents may specialize in either credit or collection work or a combination of both. Primary emphasis is on financial counseling with patient from pre-admission through account becoming a discharged zero balance. Incumbents are responsible for interview of patient, family or guarantor to explain charges, hospital policy and payment procedures. The incumbents are also responsible for confirming all commercial insurance and conducting extensive third party and welfare program finding in order to obtain payments as promptly as possible or direct account to collection agency.

Responsibilities

Identify and resolve accounts and patient concerns through the use of JHS Patient Accounting Systems. Adjudicate patient accounts as appropriate based on dollar threshold and obtain the appropriate approval. Will require the ability to analyze patient account balances and submit adjustment or payment transfers to the appropriate management approval. Update JHS Patient Accounting Systems with any changes that may be necessary to accurately reflect the patients demographic and financial information to include but not limited to the patients financial class, insurance eligibility, patient balance, etc. based on follow-up calls or new information through collection efforts or correspondence. Determine if payments are accurate based on the Payer agreement. Will be required to understand a variety of payment mechanism from DRGs, Stop Gap, Percent of Charge, Per Diem and/or any other special agreements that JHS has or will contract with to secure payment of the patient receivable. Contact Payers and Debtors to ensure timely payment and account resolution. Research, resolve delinquent accounts and document all follow up activity and post comments into the JHS Patient Accounting System. Documentation of account activity should be concise and easily understood by anyone that may need access to the patient accounting record to include others staff members within the department, hospital staff members that may need to understand past billing and collection activity, and auditors or others that require billing and collection information that are designated as an approved source (i.e. courts, lawyers, payers, etc.). Validate and determine if all data on account is accurate to conduct appropriate follow-up activity. Use daily work list or other appropriate account listing (ATB, etc.) to determine accounts that need to be worked each day. Insure that their assigned management team member is made aware of any issues with accessing their assigned work list or other issues that can impact the volume of work each day. Routinely work with supervision and management to improve processes, increase accuracy, create efficiencies and achieve the overall goals of the department. The CFA should be able to identify trends of denials or other payer issues and report those issues to the management team in the CBO. Quickly respond to changes in the Payer requirements and regulations to improve collections and be able to effectively communicate those changes to the other members of their team. Maintain productivity and quality standards in accordance with department policy and procedure. Continually improve knowledge of Medicare, Medicaid, and other third party Payers to insure a clear understanding of Payer requirements that may required to facilitate the billing and reimbursement process using multiple hospital and Payer systems. Must be very detail-oriented and accustomed to high volume output utilizing telephone, fax, Payer websites, CMS common working file, and/or Medicaid s website. Work directly with other departments and physicians that may provide information on collecting JHS account receivable. Will be required to develop and maintain good working relationships with others that impact the collection of JHS receivables. Insures proper use of all information systems available within the Hospital technology platform. Complies with HIPPA and JHS requirements as it relates to Patient Health Information. Will you JHS technology system strictly for their intend use. Adhere to JHS and Departmental policies and complete annual testing as may be required by various regulatory agencies, JHS, and/or the CBO. Attend mandatory training and maintain proficiency with the ability to pass job related skills tests with 85%. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs other job duties that may be required to provide the quality and level of service expected by JHS and Revenue Cycle management.

Experience

Generally requires 3 to 5 years of related experience.

Education

High school diploma is required. Bachelor's degree in related field is strongly preferred.

Skill

Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with critical thinking and professional composure. Ability to understand and follow instructions. Knowledge and skill in use of job appropriate technology and software applications.

Credentials

Valid license or certification is required as needed, based on the job or specialty.

Working Conditions

Physical Requirements - Job function is sedentary in nature and requires sitting for extended periods of time. Function may require frequent standing or walking. Must be able to lift or carry objects weighing up to 20 pounds. Jobs in this group are required to have close visual acuity to perform activities such as: extended use of computers, preparing and analyzing data and analytics, and other components of a typical office environment. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).

Environmental Conditions - Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Function is subject to inside environmental conditions, with occasional outdoor exposures. Possible exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May wear Personal Protective Equipment (PPE) such as gloves or a mask when exposed to hospital environment outside of office. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).